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Doctor insights on: Esophageal Cancer

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Dr. David Cooke
214 Doctors shared insights

Esophageal Cancer (Overview)

Lesions arising in the esophagus that are considered potentially malignant until biopsied. As they grow they cause swallowing problems and bleed. Treated by chemo and surgery.


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What factors increases the risk of esophageal cancer?

What factors increases the risk of esophageal cancer?

Chronic Heartburn: Severe gastro-esophageal reflux can lead to adenocarcinoma of the esophagus. If you have severe heartburn, see your doctor so you can be screened for pre-cancerous changes of your esophagus. ...Read more

Dr. David Cooke
214 Doctors shared insights

Esophageal Cancer (Overview)

Lesions arising in the esophagus that are considered potentially malignant until biopsied. As they grow they cause swallowing problems and bleed. Treated by chemo and surgery.


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How does esophageal cancer cause coughing?

How does esophageal cancer cause coughing?

Airway irritation: Coughing in esophageal cancer is usually caused by airway (aka bronchus or wind pipe) irritation, most commonly by:

1. Aspiration (saliva and/or food going into the airway) due to obstruction of the esophagus by tumor
or
2. A large tumor pushing on or growing into the airway. ...Read more

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Living with Skin Cancer (Checklist)

Avoid sun exposure between 10 am and 2 pm
daily
Apply sunscreen
2x day
Wear a hat outdoors on sunny days
daily
See a dermatologist for checkups
2x year
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Is it possible for upper middle back pain to be the only symptom of esophageal cancer?

Is it possible for upper middle back pain to be the only symptom of esophageal cancer?

Yes: But quite unusual, the cardinal features is swallowing trouble. Perforation is more associated with pain in the back than uncomplicated esophagus cancer. ...Read more

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Managing Pain from Cancer (Checklist)

Ask an oncologist to refer you to a cancer pain specialist
Once
Ask a pain specialist about both interventional and medication options
Once
If you have pancreatic cancer, ask about a celiac plexus block
Once
If you have neuropathy, request a trial of ketamine-based topical creams
Once
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What's the signs of esophageal cancer and lung cancer. What's the chances I may have it. Main probs r spitting up little blood and constant burping?

What's the signs of esophageal cancer and lung cancer. What's the chances I may have it. Main probs r spitting up little blood and constant burping?

GI symptoms: How much a "little blood" actually is depends on many things. Simple tests can detect larger blood loss, usually not the case in the youngster. The source of the blood in a young patient is important. Is it teeth, gums, sinuses, or is it further down the line, like esophagus or stomach? A good exam and a stool blood exam is also in order. ...Read more

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How much time for esophageal cancer to narrow tube to 6mm with breathing issues? My father gone 2 months after diagnosis. How long did he have tumor?

How much time for esophageal cancer to narrow tube to 6mm with breathing issues? My father gone 2 months after diagnosis. How long did he have tumor?

Can be quick: Depends on level involved
depends on which type of cancer
these are very sneaky! And do not present early in their growth.
By the time symptoms, they are advanced, spread to adjoining bronchus, nodes, and metastasize.
Sorry, terrible disease with short survival even when caught. ...Read more

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What can I do if I was diagnosed with esophageal cancer?

What can I do if I was diagnosed with esophageal cancer?

Determine stage: Stage I through iii is potentially curable via surgery +/- chemoradiotherapy. Sees board certified thoracic surgeon or medical oncologist. ...Read more

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Is there a screening test for esophageal cancer?

Is there a screening test for esophageal cancer?

Upper endoscopy: We do not perform routine screening for esophageal cancer. In japan where the risk of esophageal cancer is higher there is greater use of this test for screening. When patients do have symptoms of difficulty swallowing, pain on swallowing, hemoptysis (vomiting blood), anemic for unknown cause, heart burn not responsive to medication, episgastric pain (pain upper mid abdomen), endoscopy is needed. ...Read more

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What causes esophageal cancer?  

What causes esophageal cancer?  

Two types: Adenocarcinoma: caused by acid reflux or gerd. This leads to barrett's metaplasia, then low grade dysplasia, then high grade dysplasia and then cancer. Squamous cell carcinoma is caused generally by smoking and alcohol consumption which is synergistic. ...Read more

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I am having trouble swallowing. Does this mean I have esophageal cancer?

I am having trouble swallowing. Does this mean I have esophageal cancer?

No, but...: There are several causes of trouble swallowing (or dysphagia). Esophageal cancer is a very rare cause especially in young people. But, dysphagia definitely warrants evaluation at least by your primary care physician and probably by a gastroenterologist. You may need a special x-ray called a barium swallow or an endoscopy to investigate the cause. ...Read more

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How do you treat esophageal cancer in a 21 year old?

How do you treat esophageal cancer in a 21 year old?

Aggressively: Treatment depends upon stage and often includes multi-modality therapy (chemotherapy, radiation, and surgery). The therapies and the surgery can be challenging and therefore decisions need to incorporate the patient's preferences and their ability to tolerate the various treatments. In a 21 yo who is otherwise healthy, it seem reasonable to be aggressive with treatment. ...Read more

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How is esophageal cancer treated?

How is esophageal cancer treated?

Depends on stage: There are 4 stages of esophageal cancer (with a and b subtypes for some). For stage I and iia, the upfront therapy is surgery or esophagectomy. For stage iib or iii, treatment is chemoradiation followed by surgery, or definitive chemoradiation. For stage iv, the treatment is chemotherapy, + /- radiation. ...Read more

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What is the treatment for esophageal cancer?

What is the treatment for esophageal cancer?

Depends on stage: There are 4 stages of esophageal cancer (with a and b subtypes for some). For stage I and iia, the upfront therapy is surgery or esophagectomy. For stage iib or iii, treatment is chemoradiation followed by surgery, or definitive chemoradiation. For stage iv, the treatment is chemotherapy, + /- radiation. ...Read more

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What chemotherapy treatments exists for patients with esophageal cancer?

Many: It depends on the type of esophageal cancer and the stage. Cisplatin plus 5-fu is a common regimen, and it is sometimes given with radiation. Other types of chemo being studied include taxol, gemciteabine, irinotecan, and xeloda (capecitabine). A good website for cancer information is www. Cancer. Gov, the national cancer institute website. Good luck! ...Read more

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Can you cure esophageal cancer?

Can you cure esophageal cancer?

It depends: Esophageal cancer can be cured if it is caught early. The prognosis depends largely on the stage of disease. Lower stage disease which is more localized is more easily cured. ...Read more

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Is it possible to get rid of esophageal cancer forever?

If localized: If it is detected early enough, then it is possibly curable with endoscopic resection or surgical removal. ...Read more

Dr. Barry Rosen
4,342 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more